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社交辅助机器人用于脑卒中康复:一项长期自然环境下的随机对照试点研究。

Socially Assistive Robot for Stroke Rehabilitation: A Long-Term in-the-Wild Pilot Randomized Controlled Trial.

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2024;32:1616-1626. doi: 10.1109/TNSRE.2024.3387320. Epub 2024 Apr 19.

Abstract

Socially assistive robots (SARs) have been suggested as a platform for post-stroke training. It is not yet known whether long-term interaction with a SAR can lead to an improvement in the functional ability of individuals post-stroke. The aim of this pilot study was to compare the changes in motor ability and quality of life following a long-term intervention for upper-limb rehabilitation of post-stroke individuals using three approaches: 1) training with a SAR in addition to usual care; 2) training with a computer in addition to usual care; and 3) usual care with no additional intervention. Thirty-three post-stroke patients with moderate-severe to mild impairment were randomly allocated into three groups: two intervention groups - one with a SAR (ROBOT group) and one with a computer (COMPUTER group) - and one control group with no intervention (CONTROL group). The intervention sessions took place three times/week, for a total of 15 sessions/participant; The study was conducted over a period of two years, during which 306 sessions were held. Twenty-six participants completed the study. Participants in the ROBOT group significantly improved in their kinematic and clinical measures which included smoothness of movement, action research arm test (ARAT), and Fugl-Meyer upper-extremity assessment (FMA-UE). No significant improvement in these measures was found in the COMPUTER or the control groups. 100% of the participants in the SAR group gained improvement which reached - or exceeded - the minimal clinically important difference in the ARAT, the gold standard for upper-extremity activity performance post-stroke. This study demonstrates both the feasibility and the clinical benefit of using a SAR for long-term interaction with post-stroke individuals as part of their rehabilitation program. Trial Registration: ClinicalTrials.gov NCT03651063.

摘要

社交辅助机器人(SAR)已被提议作为中风后训练的平台。目前尚不清楚与 SAR 长期互动是否会导致中风后个体的功能能力提高。本初步研究的目的是比较三种方法(1)在常规护理之外使用 SAR 进行上肢康复训练;2)在常规护理之外使用计算机进行训练;和 3)没有额外干预的常规护理,用于治疗中风后个体的上肢康复,以比较运动能力和生活质量的变化。33 名中重度至轻度中风后患者被随机分配到三组:两个干预组-一个使用 SAR(机器人组)和一个使用计算机(计算机组)-一个没有干预的对照组(对照组)。干预课程每周进行三次,每次课程持续 15 分钟;研究持续了两年,共进行了 306 次课程。26 名参与者完成了研究。机器人组的参与者在运动学和临床测量方面有显著改善,包括运动平滑度、动作研究手臂测试(ARAT)和 Fugl-Meyer 上肢评估(FMA-UE)。计算机组和对照组在这些测量中没有发现显著改善。机器人组 100%的参与者在 ARAT 中获得了改善,达到或超过了最小临床重要差异,ARAT 是中风后上肢活动表现的金标准。本研究证明了使用 SAR 进行长期互动以作为中风后个体康复计划的一部分的可行性和临床益处。试验注册:ClinicalTrials.gov NCT03651063。

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